Trauma , Traumatic Brain Injury , Neurology , Cardiology

An Unusual Cause of Tachycardia: Focal Nonconvulsive Status Epilepticus Following Acute Head Trauma

8/10/2021 Bruce J. Grattan Jr., DO, MS, RD , John Leskovan, DO, FACS, FACOS

Nonconvulsive status epilepticus has traditionally been thought of as a rare condition. There is little data regarding its true incidence, but evidence suggests it is far more common than once believe

Administration & Operations , Health Care Administration , Medical Education

Business and Administrative Curriculum for Emergency Medicine Residents: A National Needs Assessment

8/10/2021 Nicholas Cozzi, MD, MBA , Zach Jarou, MD , Adam J. Rodos, MD, FACEP , Nicholas Stark, MD, MBA , Arnab Sarker, MD, MBA , Ynhi Thomas, MD, MPH, MSc , Phillip Tseng, MD, MBA, MEd , Jason P. Seamon, DO, FACEP , Jeffrey S. Jones, MD, FACEP , Anne Messman, MD, MHPE, FACEP

Emergency medicine (EM) residency exposes trainees to the informal curriculum of practice management. Through the Kern model of curriculum development, we present a national targeted needs assessment

President's Message , Wellness

The Power of Connection

8/10/2021 RJ Sontag, MD

Shared experiences and shared space have always been the building blocks of connection. EMRA is looking forward to creating those opportunities again with programming at ACEP Scientific Assembly 2021.

Endocrinology

Bilateral Adrenal Hemorrhages Due to Pheochromocytomas and MEN2A Syndrome

8/10/2021 Kevin Vinokur, DO , Christopher Mendoza, MD, MA, FACEP

Multiple endocrine neoplasia (MEN) syndromes are rare, inherited disorders, and adrenal hemorrhage is a rare cause of abdominal pain. We present a case of bilateral adrenal hemorrhages due to pheochro

Toxicology

Physostigmine for Severe Antimuscarinic Overdose: Pushing Back Against the Stigma

8/10/2021 Sahar Rammaha , Larry B. Mellick, MD, FACEP

Physostigmine has long been recognized as an antidote to reverse antimuscarinic delirium. However, its effectiveness, safety profile, and dosing have been disputed in recent years. But does this medic

Ultrasound , Cardiology

Ultrasound-Guided Stellate Ganglion Block in Pulseless Refractory Ventricular Fibrillation

8/10/2021 Chase Hamilton, DO , Georgina Puentedura, MD , Garren Giles, DO

The ultrasound-guided stellate ganglion block may be used as an adjunct to established methods during pulseless ventricular arrhythmias. It is a potentially lifesaving procedure that is within the eme

COVID-19 , Pediatric EM

Kawasaki Disease vs. Multisystem Inflammatory Syndrome in Children (MIS-C)

8/10/2021 Richmond M. Castillo, MD, MA, MS , Brad Goldberg, MD, FAA

Kawasaki Disease and Multisystem Inflammatory Syndrome (MIS-C) can be challenging to distinguish, especially because COVID-19 infections can be asymptomatic. Ongoing studies are helping emergency phys

48-4 Compartment Syndrome Figures 1-4.png

Trauma , Toxicology

Compartment Syndrome Secondary to Cocaine-Induced Rhabdomyolysis

8/10/2021 Kyle Parker, MD , Leslie Rea, MD , Anjeza Cipi, MD

Although substance-induced rhabdomyolysis has been widely reported, the progression to compartment syndrome is not frequently encountered and usually of multifactorial etiology. Rapid recognition of t

Administration & Operations , Health Care Administration , COVID-19 , Informatics

The Future of Telehealth: Panel Reflection

8/10/2021 Christina Brown, MD , Nicolas Kahl, MD , Michael Dorritie, DO , Nicholas Stark, MD, MBA

A decade ago, telehealth seemed like a complicated, inefficient way to deliver care. With advancements in technology and the COVID-19 pandemic, telehealth has grown into a vital tool for emergency med

Pediatric EM , Ultrasound

Acute Abdominal Pain in a Child

8/10/2021 Carolina Vega, MD , Jennifer Noble, MD, FAAP , Jayashree Rao, MD , Nirupama Kannikeswaran, MD

Point-of-care ultrasound can be used to detect Meckel’s diverticulum as the underlying etiology of lower abdominal pain in pediatric patients. In the following case, bedside family-centered teaching a

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